Original Articles

Journal of General Internal Medicine

, 21:357

First online:

Brief report: Trainee provider perceptions of group visits

  • Kimberly S. DavisAffiliated withDepartment of Medicine, Medical University of South Carolina Email author 
  • , Kathryn M. MagruderAffiliated withRalph H. Johnson Veterans Affairs Medical Center, Medical University of South CarolinaDepartment of Psychiatry and Behavioral Sciences, Medical University of South CarolinaCenter for Health Care Research, Medical University of South Carolina
  • , Yan LinAffiliated withDepartment of Biostatistics, Bioinformatics and Epidemiology, Medical University of South Carolina
  • , Caroline K. PowellAffiliated withClinical Instructor Department of Medicine, Medical University of South Carolina
  • , Dawn E. ClancyAffiliated withDepartment of Medicine, Medical University of South Carolina

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Abstract

OBJECTIVE: To evaluate the effect of observing group visits on trainees’ perceptions of group visits as a method of health care delivery.

RESEARCH DESIGN AND METHODS: Thirty-two trainees assigned to month-long rotations at an academic Internal Medicine Primary Care Clinic serving underinsured patients were recruited to observe between 1 and 4 group visits. Prior to observation of their first, and subsequent to observation of their last group visit, each trainee completed the Patient-Physician Orientation Scale (PPOS), a validated survey evaluating their tendencies toward being patient-centered or provider-centered. Additionally, they completed a Group Visit Questionnaire (GVQ) evaluating their perceptions of group visits as a method of health care delivery.

RESULTS: Trainee gender, type, and level of training were similarly represented across the study population of trainees. While there were no significant differences noted on pre- and postobservation PPOS scores, the postobservation GVQs scores were significantly improved after observing at least one group visit (P<.0001).

CONCLUSION: Trainees’ perceptions of group visits as a method of health care delivery improved significantly after observation of at least 1 group as measured by the GVQ.

Key words

group visits health care delivery system provider perceptions